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General NPI Number Information
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NPI Number | 1801298799
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Entity Type | Organization
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Legal Business Name | BRONSON METHODIST HOSPITAL
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 601 JOHN ST STE M-005
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City | KALAMAZOO
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State | MI
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Zip | 49007-5381
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Country | US
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Telephone | 269-341-6350
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Fax | 269-341-8580
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Provider Business Mailing Address
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Address Line | 601 JOHN ST BOX 42
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-341-7806
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. REBECCA EAST
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Credential |
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Telephone | 269-341-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State |
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